| NPI | 1255819405 |
|---|---|
| Former Name | NICHOLE MARIE PATTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008400A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28211762A) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-02-14 |